HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 30060R5643500A REQUISITION 05/09/07
CITY OF FORT COLLINS Page- 1
Shipped From ENVIRONMENTAL CONCERNS INC Ship To CLRS ADMINISTRATION
2526 E HIGHWAY 402 CITY OF FORT COLLINS
P O BOX 2135 215 N MASON, 3RD FLOOR
LOVELAND CO 80537-8904 FORT COLLINS CO 80524-4408
Ordered 05/08/07 Freight
Requested 05/08/07 Order Taken By
Delivery
Line Description / Supplier Item Quantity UOM Unit Price Extended Price Business
_ Unit
1.000 1 LS .0000 10,722.40 401
Addendum to PO# 6602274
Per Change Order #38
Spring Canyon Community Park
Bid #5952
Order Number
Branch/Plant
30060 - 000 - OR
2217
Account Number Buyer
Number
40144500.546310.6 4
Totals 10,722.40
05/08/2007 TUE 15:41 FAX 970 221 0586 CITY OF FT COLLINS CLRS
Q 001/001
CHANGE ORDER NO, #3a
PROJECT TITLE: SPRING CANYON COMMUNITY PARK
CONTRACTOR: ECI
PROJECT NUMBER: 5952
PURCHASE ORDER NO.: 6602274
DESCRIPTION: mainline pipe & intake screen to pump station at Cottonwood Glen
1. Reason for change: realign mainline from lift station to pump station, add now intake screen to intake line at
Cottonwood Glen pumphouse
2. Description of Change: realign mainline from lift station to pump station, add new intake
screen to intake line at Cottonwood Glen pumphouse
2)bD (LOC) -�R2
3. Change In Contract Cost. $10,722.40
4. Change in Contract Time: 0
TOTAL APPROVED CHANGE ORDER
TOTAL PENDING CHANGE ORDER
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS C.O.
TOTAL % OF ORIGINAL CONTRACT, ALL C_O.'S
ADJUSTED CONTRACT COST
(Assuming all chant
ACCEPTED BY:
Contractor's Rep
ACCEPTED BY:
Project Manager
REVIEWED BY:
Title:
APPROVED BY:
Title:
IaY�
DATE: _; 8- 6 --
DATE: 4z %-d P7
DATE:
DATE:
APPROVED BY: DATE:
Purchasing Agent over $30,000
cc: CltyClerk Architect
Contra tOr Engineer
Project File Purchasing